| NPI | 1750749933 |
|---|---|
| Doing Business As | LOS ANGELES DETOX LLC |
| Entity Type | Organization |
| Authorized Contact | ALLAN DICKS CEO 323-450-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190861AP) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |